GRANT ApplicaTION
Legal Name of Organization:
Executive Director:	Phone:
Address:
City:	State:	ZIP Code:
Contact PERSON
Contact Person:
Email Address:	Phone:
Position:
Request
Amount Requested:
Project Budget (if applicable):
Total Annual Organizational Budget:	Fiscal Year Ends:
Type of Request (place an X by the correct category) : ____Project ____ Operating ____ Capital ____ Other
proposal summaries
Please summarize the organization’s mission in 3 sentences or less.

Please summarize the proposal for funding in 3 sentences or less. (You may include additional details in the additional documentation section)

What is the proposal's target population and geographic locale?
Past support
Please list any support your organization has received from the Ramlose Foundation in the past 5 years.
Please list other foundations that have made contributions to you in in the past 5 years.